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Patient satisfaction with different types of craniofacial prostheses
Kevin M Higgins1, Kassandra Gressmann2, Bernie Yan3
1Physician, Department of Otolaryngology, Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
The Journal of Prosthetic Dentistry
|September 27, 2022
Summary
Patients are highly satisfied with maxillofacial prostheses, especially auricular types. Further research should improve orbital prostheses and osseointegrated retention methods for better patient outcomes.
Area of Science:
- Maxillofacial surgery
- Prosthodontics
- Biomaterials
Background:
- Maxillofacial prostheses offer effective esthetic restoration for defects with minimal risk.
- Limited studies exist on complications and satisfaction levels among maxillofacial prosthesis wearers.
Purpose of the Study:
- To assess patient satisfaction with various maxillofacial prostheses and retention methods.
- To identify factors influencing satisfaction using a survey questionnaire.
Main Methods:
- Cross-sectional study of patients treated at Sunnybrook Health Sciences Center Craniofacial Prosthetics Unit since 2015.
- Survey included demographics, prosthesis usage, and the Toronto Outcome Measure for Craniofacial Prosthetics (TOMCP-27).
- Eligible patients were over 18 and possessed a maxillofacial prosthesis.
Main Results:
- Overall, patients reported high satisfaction with their maxillofacial prostheses.
- Auricular prostheses showed the highest satisfaction rates.
- Orbital prostheses were associated with higher dissatisfaction; osseointegrated retention yielded greater satisfaction than magnetic coupling.
Conclusions:
- Maxillofacial prostheses generally achieve excellent patient satisfaction.
- Future developments should prioritize osseointegrated techniques, magnetic coupling improvements, and enhanced orbital prosthesis technology.

